Expectations for Lumbar Spine Surgery

RD
CA
Overseen ByCarol A Mancuso, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Hospital for Special Surgery, New York
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to assess the alignment between patients and surgeons regarding expectations for lumbar spine surgery. It seeks to determine if both parties share similar hopes and expectations before the procedure. English-speaking adults scheduled for non-trauma-related lumbar spine surgery may qualify for participation. As an unphased study, joining provides an opportunity to contribute to enhancing communication and outcomes in spine surgery.

Do I need to stop taking my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What is the safety track record for lumbar spine surgery?

Research has shown that lumbar spine surgery is generally safe for most people. One study found that outpatient lumbar fusion is usually safe for the right patients, with most experiencing no serious problems afterward. Another study focused on older adults, including those 85 and older, and found that the surgery can be safe when doctors carefully select candidates.

However, like any surgery, there are some risks. Some studies have noted a chance of needing additional procedures later or returning to the hospital, though these situations are uncommon. Overall, lumbar spine surgery is usually well-tolerated, with most people not experiencing major issues.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it aims to bridge the gap between what patients and surgeons expect from lumbar spine surgery. This is crucial because aligning these expectations can lead to better patient satisfaction and outcomes. Unlike other studies that focus solely on surgical techniques or outcomes, this trial uniquely emphasizes understanding and potentially improving communication and decision-making processes in the surgical experience. By gaining insights into these perspectives, the trial could lead to more personalized and effective treatment plans for patients undergoing lumbar spine surgery.

What evidence suggests that lumbar spine surgery is effective for patients?

Studies have shown that lower back surgery can be very effective for many patients. Success rates range from 70% to 90% for suitable candidates, meaning many people experience relief after the procedure. However, about 33% of patients may not see improvement, and some might even feel worse. Results can vary based on personal health and the specific condition being treated.678910

Who Is on the Research Team?

CA

Carol A Mancuso, MD

Principal Investigator

Hospital for Special Surgery, New York

Are You a Good Fit for This Trial?

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-Surgery Assessment

Participants and surgeons complete the Lumbar Spine Surgery Expectations Survey

1 week
1 visit (in-person)

Follow-up

Participants are monitored for concordance in expectations and outcomes post-surgery

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Expectation Assessment
  • Lumbar Spine Surgery

Find a Clinic Near You

Who Is Running the Clinical Trial?

Hospital for Special Surgery, New York

Lead Sponsor

Trials
257
Recruited
61,800+

Citations

1.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/8724090/

Predictors of bad and good outcome of lumbar spine ...

Summary of background data: Outcome studies of lumbar disc surgery document a success rate between 49-90%. It has been shown that a number of medical history ...

How Successful is Spine Surgery? Success Rates & What ...

For appropriate candidates, success rates for lumbar spine surgery typically range from 70% to 90%.

Predictors for failure after surgery for lumbar spinal stenosis

After surgery for LSS, 33% of the patients reported failure, and 22% reported worsening as assessed by ODI. Preoperative duration of back pain ...

Do measures of surgical effectiveness at 1 year after lumbar ...

The stabilization in patient-reported outcomes suggest that 1 year after surgery appears to be a reasonable time frame to anticipate maximal ...

Five-year outcome of surgical decompression of the lumbar ...

[22] reported that after an average 8 years follow-up 33% of patients had severe back pain, 53% were unable to walk two blocks, and 25% were not satisfied with ...

Comparison analysis of safety outcomes and the rate of ...

This study examined safety outcomes and the rate of subsequent spinal procedures among LSS patients receiving an ISD versus MILD as the first ...

Clinical and safety outcomes of decompressive surgery for ...

This study reports on the clinical and safety outcomes of lumbar decompressive surgery performed in the Gaza Strip, a poor and underserved area with a fragile ...

Safety of Outpatient Anterior Lumbar Interbody Fusion ...

The outcomes of interest in this study included postoperative adverse events, mortality, hospital readmission rate, and reoperation rate. Data ...

9.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/37767789/

Comparison of the Safety of Inpatient Versus Outpatient ...

Preliminary data regarding the safety of outpatient lumbar fusion demonstrates a favorable safety profile in appropriately selected patients.

The safety profile of lumbar spinal surgery in elderly patients ...

Lumbar spine surgery in patients 85 years and older can be accomplished safely if careful attention is paid to preoperative selection.